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CHAPTER CARDIOVASCULAR DRUGS

CHAPTER CARDIOVASCULAR DRUGS The American Heart Association estimates that greater than 50% of deaths are related to some form of CARDIOVASCULAR disease, and many of these may be effectively prevented by appropriate external intervention. CARDIOVASCULAR DRUGS can be broadly categorized as 1) anti-anginals, 2) anti-arrhythmics, 3) anti-hypertensives, 4) anti-coagulants, 5) anti-hyperlipidemic agents, 6) hypo-glycemic agents, and 7) anti-thyroid DRUGS and thyroid hormones. This CHAPTER includes a discussion of the first four categories. ANTI-ANGINAL DRUGS Introduction Anti-anginals are pharmaceutical agents used to treat angina pectoris, a disease of the coronary arteries. The coronary arteries supply oxygen-laden blood from the left ventricle to all heart muscles including those of the ventricles themselves. Coronary arteries maintain cardiac function and are expected to adapt to sudden demands on the heart due to enhanced activity. Typically the arteries respond to this sudden demand by dilatation.

Verapamil, 8a. and bepridil,8b., have only one thing in common, an amine group substituted with an alkyl and an aryl group. Arylalkylamines have a chiral center, where the dextrorotatory isomer is more active than its counterpart. 4. Metabolism

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